Cornish Lynn
Tissue Viability Specialist Lead St. Margaret's Hospice, Somerset.
Br J Community Nurs. 2019 Sep 1;24(Sup9):S19-S23. doi: 10.12968/bjcn.2019.24.Sup9.S19.
Malignant wounds are a complication of cancer, and usually occur in those individuals with advanced disease. When healing ceases to be the goal, treatment is centred around symptom control and improving quality of life. Caring for individuals with malignant wounds presents challenges for patients, their families and nurses alike. This article discusses the holistic management of malignant wounds, with an emphasis on the control of both physical and psychosocial symptoms of wound management, as well as the impact that this may have on all those involved. Common physical symptoms of malignant wounds include malodour, bleeding, pain, exudate and pruritis. Psychosocial symptoms may result in social isolation and depression. All these symptoms have a huge impact, not only on patients and their families, but also on healthcare professionals both during and after care. Managing these symptoms requires a multidisciplinary approach to facilitate the best possible outcomes for patients and their caregivers.
恶性伤口是癌症的一种并发症，通常发生在患有晚期疾病的个体中。当治愈不再是目标时，治疗的重点是症状控制和提高生活质量。照顾患有恶性伤口的个体对患者、其家人和护士来说都是一项挑战。本文讨论了恶性伤口的整体管理，重点是控制伤口管理的身体和心理社会症状，以及这可能对所有相关人员产生的影响。恶性伤口常见的身体症状包括恶臭、出血、疼痛、渗液和瘙痒。心理社会症状可能导致社交隔离和抑郁。所有这些症状不仅对患者及其家人有巨大影响，而且在护理期间和护理之后对医疗保健专业人员也有巨大影响。管理这些症状需要多学科方法，以促进为患者及其护理人员带来尽可能好的结果。
